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Revocation, Transfer to Another Hospice and Change of Attending Physician

Explains how a patient or representative revokes the hospice election (42 CFR §418.28), changes the designated hospice once in each election period (§418.30), or changes the attending physician (§418.24(i)); the Notice of Termination/Revocation within 5 calendar days; the Florida duty to arrange continuing care and complete a comprehensive discharge summary for the receiving provider (s. 400.6095(7), F.S.); and the rule that staff never ask or pressure a patient to revoke.

Preview: full text with a package
About this policy
Policy number
FL-HSP-ELC-03
Version
1.0
Main rule
42 CFR §418.28
Library
Florida hospice · 60 policies
Category
Hospice care
Sections
16

In short

  • Only the patient or representative can revoke. Never suggest, ask or pressure anyone to revoke.
  • If a patient talks about stopping hospice, tell the coordinating nurse the same day.
  • A revocation needs a signed Form FL-HSP-ELC-03-A with an effective date no earlier than the signature.
  • A patient may change hospices once each benefit period (Form FL-HSP-ELC-03-B). It is not a revocation.
  • For any change, arrange continuing care and send the discharge summary to the next provider.

What's inside

16 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §§418.28, 418.30; s. 400.6095(7), F.S.)
  • 5. Revocation
  • 6. Change of Designated Hospice
  • 7. Change of Attending Physician
  • 8. Re-election After Revocation
  • 9. Responsibilities
  • 10. Records and Compliance Monitoring
  • 11. Staff Training
  • 12. References
  • 13. Related Policies and Forms
  • 14. Approval
  • 15. Revision History

An inspector may ask

  • Show me a revocation statement. Does it have an effective date no earlier than the date it was signed?
  • How do you make sure no one suggests or pressures a patient to revoke?

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